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Individual

MRS. MICHELLE LYNETTE GOYMERAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
664
CO
174400000X
Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
352309556
MASSAGE THERAPY
CO
Enumeration date
01/22/2008
Last updated
02/02/2023
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